NPI Code Details Logo

NPI 1457169294

NPI 1457169294 : GABRIEL BRIGGS PHYSICAL THERAPY, PLLC : CAMILLUS, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1457169294
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    GABRIEL BRIGGS PHYSICAL THERAPY, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/26/2024
-----------------------------------------------------
    Last Update Date     |    12/26/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5700 W GENESEE ST STE 7 
-----------------------------------------------------
    City                 |    CAMILLUS
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    13031-3202
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    680-800-4490
-----------------------------------------------------
    Fax                  |    680-800-1003
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5700 W GENESEE ST STE 7 
-----------------------------------------------------
    City                 |    CAMILLUS
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    13031-3202
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    680-800-4490
-----------------------------------------------------
    Fax                  |    680-800-1003
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEMBER/OWNER
-----------------------------------------------------
    Name                 |    DR. GABRIEL TIMOTHY BRIGGS 
-----------------------------------------------------
    Credential           |    P.T.
-----------------------------------------------------
    Telephone            |    680-800-4490
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QP2000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapy Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.